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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Heroin (smoked)

2

IV.n Obstructive airway dysfunction (see also IVc, XVx)

2
Last update : 22/04/2019
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Black tar heroin (BTH)
3
Heroin (inhaled, insufflated, snorted)
4
Heroin (intravenous)
5
Heroin (oral)
2

Publications

Screening Heroin Smokers Attending Community Drug Clinics for Change in Lung Function: A Cohort Study.
Chest 2020 Mar;157;558-565 2020 Mar
Screening Heroin Smokers' Lung Function at Community Care Clinics.
Chest 2020 Mar;157;484-486 2020 Mar
Heroin Smoking and COPD: A Case for Targeted Screening Spirometry.
Chest 2019 Feb;155;247-248 2019 Feb
Screening Heroin Smokers Attending Community Drug Services for COPD.
Chest 2019 Feb;155;279-287 2019 Feb

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